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South Coast Dermatology Llc
Specialist in Weymouth, Massachusetts
NPI 1215911383

South Coast Dermatology Llc is a Specialist based in Weymouth, MA. South Coast Dermatology Llc practices in Weymouth, MA. The NPI Number for South Coast Dermatology Llc is 1215911383 and holds a License No. (Massachusetts).

The current practice location address for South Coast Dermatology Llc is 90 Libbey Pkwy, Weymouth, MA and can be reached out via phone at 781-335-9700 and via fax at 781-335-9709.

Location: 90 Libbey Pkwy, Weymouth, MA, 02189-3100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215911383
Provider Name
South Coast Dermatology Llc
Credential
Provider Entity Type
Organization
Address
90 Libbey Pkwy, Weymouth, MA, 02189-3100
Phone Number
781-335-9700
Fax Number
781-335-9709
Provider Enumeration Date
12/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M17965 01 BC/BS
691531 01 TUFTS
9713361 05 MA
institution
Provider Business Practice Location Address Details
Address
90 Libbey Pkwy
City
Weymouth
State
Massachusetts
Zip
02189-3100
Phone Number
781-335-9700
Fax Number
781-335-9709
person
Provider Business Mailing Address Details
Address
90 Libbey Pkwy
City
Weymouth
State
Massachusetts
Zip
02189-3100
Phone Number
781-335-9700
Fax Number
781-335-9709
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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